Lau Amanda M, Johnston Mickaila J, Rivard Shayna S C
J Spec Oper Med. 2019 Summer;19(2):14-17. doi: 10.55460/K7M6-ANOA.
The initial livedo skin changes of cutis marmorata, also known as cutaneous decompression sickness (DCS), are transient in nature. Accordingly, early images of violaceous skin changes with variegated, marbled, or mottled appearance are rare, whereas later images of deep, erythematous, or violaceous skin changes are readily available. This case presents the opportunity to view the early skin changes characteristic of cutaneous DCS, which would likely manifest at Level I care in the setting of a diving injury during Special Operations missions in austere environments. The unique diving context also allows an overview of DCS in addition to a review of skin eruptions associated with various marine life. As diving is frequently used by Naval Special Warfare, topics presented in this case have significant relevance to Special Operations.
大理石样皮肤的初始青斑样皮肤改变，也称为皮肤减压病（DCS），本质上是短暂的。因此，早期出现的呈杂色、大理石样或斑驳外观的紫红色皮肤改变的图像很少见，而后期出现的深部、红斑性或紫红色皮肤改变的图像则很常见。本病例提供了一个机会来观察皮肤DCS的早期皮肤改变特征，这种改变可能在艰苦环境下特种作战任务中潜水受伤时的一级护理中出现。独特的潜水背景除了能回顾与各种海洋生物相关的皮肤疹外，还能对DCS进行概述。由于海军特种作战经常使用潜水，本病例中呈现的主题与特种作战有重大关联。
